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Organization
PEDIATRIC DENTAL SPECIALTY ASSOCIATES LTD
Active
Organization
PEDIATRIC DENTAL SPECIALTY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENEARND C ALGENIO DDS (PRESIDENT)
(815) 462-3030
Entity
Organization
Contact information
Practice address
315 ALANA DR, NEW LENOX, IL 60451-1766
(815) 462-3030
(815) 462-4742
Mailing address
315 ALANA DR, NEW LENOX, IL 60451-1766
(815) 462-3030
(815) 462-4742
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
04/12/2022
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